NPI Registry
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Organization

R.G. MEDICAL, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CORNELIA KRIEGER (PROVIDER COORDINATOR)
(914) 328-8077
Entity
Organization

Contact information

Practice address
907 E TREMONT AVE, BRONX, NY 10460-4301
(718) 589-9588
(718) 589-9589
Mailing address
174 GRAND ST, WHITE PLAINS, NY 10601-4803
(914) 328-8077
(914) 328-6083

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A203762-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
028681
NY
01
203762
LICENSE
NY
Enumeration date
07/19/2006
Last updated
10/18/2007
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